MARIAM IMNADZE MILLER (NPI# 1659533222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659533222 |
| Entity Type | Individual |
| Full Name | MARIAM IMNADZE MILLER |
| Credential | M.D. |
| Practice Address |
4315 Diplomacy Dr Dept of Urology Anchorage AK 99508-5926 |
| Mailing Address |
4315 Diplomacy Drive Dept of Urology Anchorage AK 99508 |
| Practice Telephone | 8554824382 |
| Mailing Telephone | 9077294443 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 101249 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
4315 DIPLOMACY DR DEPT OF UROLOGY |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509669 | Steven James Denson | Chiropractor | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2005-06-27 |
| 1982202156 | Christina Eldridge | Pharmacist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-10-11 |
| 1699393132 | Southcentral Foundation | Dentist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-07-10 |
| 1699304725 | Meghan Ballard | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-04-01 |
| 1922633650 | Laura Cantrell | Student in an Organized Health Care Education/Training Program | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-03-03 |
| 1609416064 | Matthew Wade | Nurse Anesthetist, Certified Registered | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-01-13 |
| 1407494677 | Michael Bruce | Preventive Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-18 |
| 1336787993 | Korin Scott | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-13 |
| 1215578422 | Andrew James Baker | Registered Nurse | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-30 |
| 1861042749 | Anthony Martin | Physical Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
| 1649211194 | Andre' S Godet | Urology | 3841 Piper St Ste T300, Anchorage, AK 99508-4624 | 2006-06-08 |
| 1124091939 | Robert C Allen Jr. | Urology | 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 | 2006-02-10 |
| 1336136936 | Alaska Women's Health Services, Inc | Urology | 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 | 2005-09-29 |
| 1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
| 1861831273 | Elysia Sophia Spencer | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2013-06-19 |
| 1598921546 | Benjamin Titus Montgomery | Urology | 3841 Piper St, Suite T300, Anchorage, AK 99508-4624 | 2008-07-30 |
| 1902067390 | Joshua E Logan | Urology | 188 W Northern Lights Blvd Ste 800, Anchorage, AK 99503-3984 | 2008-06-19 |
| 1083890180 | Alaska Womens Health PC | Urology | 3260 Providence Dr, Suite 322, Anchorage, AK 99508-4661 | 2008-01-18 |
| 1720262165 | Kevin M Tomera Md Inc | Urology | 1200 Airport Heights Dr, Ste 210, Anchorage, AK 99508-2943 | 2007-12-20 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.